Individual
MS. EVELYN KINYUY NGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16 ROOSEVELT DRIVE, LAUREL SPRINGS, NJ 08021-2731
(856) 232-6058
(856) 232-8260
Mailing address
PO BOX 1897, LAUREL SPRINGS, NJ 08021-8897
(856) 232-6058
(856) 232-8260
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NO12420700
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00261200
NJ
364SF0001X
Family Health Clinical Nurse Specialist
26NJ000261200
NJ
Other
Enumeration date
09/11/2009
Last updated
03/22/2022
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